Section 4.2, Elapsed Time between Sending the X12 v5010 835 and the CCD+ Transactions, of the CAQH CORE Payment & Remittance (CCD+/835) Reassociation Rule requires that “a health plan must ensure that the CCD+ Effective Entry Date is a valid banking day and that the corresponding X12 v5010 835 BPR16 date is the same valid banking day.” However, the Payment & Remittance (CCD+/835) Reassociation does not place further requirements around confirming the transfer of funds from the health plan’s financial institution to provider’s financial institution.
Section 4.2.2, Elapsed Time Auditing Requirements, requires the health plan to have the capability to track and audit the elapsed time between sending of the X12 v5010 835 and the CCD+ to ensure the elapsed time requirement is met ninety percent of the time, as measured within a calendar month. The CAQH CORE Payment & Remittance (CCD+/835) Reassociation Rule does not specify the exact data elements to be included in the audit log. However, CAQH CORE recommends that the captured data elements include the CCD+ Effective Entry Date and the date on which the X12 v5010 835 was released for transmission.